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作者
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Lee, M-T., Lu, Y-Y., Wu,
C-Y., Hsieh, Y-W., & Lin, K-C.*
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摘要
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Objective: Randomized controlled trials investigating the effects of mirror
therapy (MT) in stroke patients have accumulated in recent years. However,
systematic reviews that synthesize and integrate the effects of MT relative
to control treatments remain limited. This systematic review was to
synthesize studies that examined the effects of MT after stroke. Methods: Articles published between
January 1950 and March 2012 were retrieved from electronic databases and
manual search. Relevant references were also reviewed. To be eligible for
inclusion, the study should involve a randomized controlled trial that
studied the effects of MT compared to control interventions in stroke
patients on upper limb motor function or activities of daily living. The
effect size estimates were calculated for each outcome measure of the
included studies. Results: Nine reports were eligible for inclusion. The results showed that
most of the included studies used MT in addition to conventional therapy. The
treatment protocols of MT focused on bilateral arm training with “moving the affected limb as could as possible”. The review found that MT led to better improvements in motor
impairment and motor function than control interventions, with
moderate-to-large effect sizes. However, there was no conclusive evidence on
the outcomes of sensory function, and lower limb function. Conclusion: This review supported the
effects of MT on motor impairment and motor function in patients with
subacute and chronic stroke. Future research is needed to study the effects
of MT on functional and kinematic outcomes, the factors affecting MT
outcomes, and underlying mechanisms of MT in larger samples.
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